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The most clinically significant cause is hypoglycaemia (low blood glucose), particularly in patients who are also taking other glucose-lowering medications such as sulphonylureas or insulin
More serious potential adverse effects include pancreatitis, gallbladder disease, acute kidney injury (especially with dehydration), and worsening of diabetic retinopathy in some patients with diabetes
If plain water feels too bland, adding a squeeze of lemon or a few slices of cucumber can make it more enjoyable
Honest Care may facilitate clinical trial recruitment for patients who choose to opt in
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